| NPI | 1770809881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARTRELL D KING Owner 773-505-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036056245) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036056245) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-04-14 |